NPIMap

Individual provider Active NPI

Richa Dudek

  • Pain Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1578095592
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
MD470116 Issued in PA
Practice address
3471 5TH Ave Ste 402
Pittsburgh, PA 15213-3221
Phone
(412) 647-5815
NPI assigned
Mar 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X MT215704 PA
Student in an Organized Health Care Education/Training Program 390200000X
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X MD470116 PA Primary

Addresses

Primary practice location

3471 5TH Ave Ste 402
Pittsburgh, PA 15213-3221

Mailing address

3600 Forbes Ave Ste 140
Pittsburgh, PA 15213-3410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220810002192 PA Practitioner - Physical Medicine and Rehabilitation 1153676978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Rutgers New Jersey Medical School, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

120 Pine St
Tamaqua, PA 18252-1409
Phone (570) 645-1510

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • St Luke'S Miners Memorial Hospital Hospital, Coaldale, PA, CCN 390183
  • St Luke'S Hospital - Carbon Campus Hospital, Lehighton, PA, CCN 390335
  • St Luke'S Hospital - Monroe Campus Hospital, Stroudsburg, PA, CCN 390330

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD470116PAMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. Multi-Specialty Current Accepting new patients
St Luke'S Physician Group Inc CurrentSince Aug 15, 2022 Accepting new patients
St. Luke'S Physician Group, Inc. Multi-Specialty CurrentSince Aug 15, 2022 Accepting new patients
St. Luke'S Physician Group, Inc Multi-Specialty Past Accepting new patients

Locations

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

575 S 9th St
Ste 6
Lehighton, PA 18235

120 Pine St
Tamaqua, PA 18252
Phone (570) 645-1540

Interoperability endpoints

  • Direct secure messaging: richa.dudek@slpg.direct-sluhn.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1578095592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 FORBES AVE STE 140",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3471 5TH AVE STE 402",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133221",
            "telephone_number": "412-647-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDEK",
        "first_name": "RICHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "PA",
            "license": "MT215704",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "PA",
            "license": "MD470116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.